Faculty Application Form

Thank you for your interest in ministry at Heritage Academy. Before you fill out the application, please read the Member Policy Manual. Much of what you need to know is in this manual, however, additional information is found in the Bulletin and in our Philosophy and Standards. If you are interested in Academic teaching, please also read our Teacher’s Handbook. Submitting this application also means that you agree to be subject to a background check and that you agree with the information in the documents noted above. Please do not hesitate to contact us if you have further questions. May the Lord guide you as you seek to know His will for you in ministry for others.

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Personal Information

First Name *

Last Name *

Date of Birth (MM/DD/YYYY) *

Tax Identification (SSN) *

Address 1 *

Address 2

City *

Zip Code / Postal Code *

Foreign Province / Territory

Country *

Email address *

Phone Number *

Do You Have Dependents? *

If Yes, How many?

Position You Are Applying For *

Work History

Current Work Experience *

Name of Current Employer

Name of Immediate Supervisor

Address of Current Employer *

Address 1 of Current Employer

Address 2 of Current Employer

City

Postal Code

Country

Current Employer's Phone number

Company Name

Name of Supervisor

Company Address 1

Address 2

City

Postal Code

Country

Supervisor's Phone number

2nd Company Name

Supervisor's Name

Address 1

Address 2

City

Postal Code

Country

2nd Supervisor's Phone number

3rd Company Name

3rd Supervisor's Name

Address of 3rd Company

Address 2

City

Zip / Post Code

Country

Phone number of Supervisor *

Please take as much space as you need to express why you would like to work in a ministry such as Heritage Academy *